Healthcare Provider Details

I. General information

NPI: 1275782013
Provider Name (Legal Business Name): JENNIFER ANN LLOYD-WHITE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 TIMBERWOOD BLVD STE 112
CHARLOTTESVILLE VA
22911-7545
US

IV. Provider business mailing address

220 BLAKEY AVE
STANARDSVILLE VA
22973-2460
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-8510
  • Fax:
Mailing address:
  • Phone: 202-880-2798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number133000295
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: